SOUTH CAMBRIDGESHIRE DISTRICT COUNCIL
APPLICATION FOR A PRIVATE HIRE/HACKNEY CARRIAGE
VEHICLE LICENCE
PREAMBLE: We may get information from certain third parties, or give information to them, to
check the accuracy of information, to prevent or detect crime, or to protect public funds in other ways, as
permitted by law. These third parties include other Local Authorities and Government departments.
TO:
The Corporate Manager for Health and Environmental Services
South Cambridgeshire District Council
South Cambs Hall
Cambourne
CB23 6EA
I the undersigned, hereby apply for a PRIVATE HIRE/ HACKNEY CARRIAGE VEHICLE LICENCE
(delete as appropriate) to be let for hire within the District of South Cambridgeshire in respect of the
vehicle described below.
I declare that to the best of my knowledge and belief, the statements made herein are true and correct,
and I give my permission for you to check the information I have given with third parties as described.
I realise that if, for the purpose of obtaining a Hackney Carriage or Private Hire Licence for this vehicle, I
make any false statement or omit any material particulars I shall be liable for prosecution.
I also wish to apply for the use of Transponder to be issued by South Cambridgeshire District Council
acting as agents on behalf of Cambridgeshire County Council and agree that I have had explained and
understood the Authorised User Guidance and conditions document, a copy of which I have received
and agree to conform to and comply with all its requirements. I also agree to take full responsibility for all
drivers employed in the exercise of authorised user status granted to
_________________________________(Company or individuals name)
I accept that the granting of Authorised User Status by Cambridgeshire County Council under the
provisions of the various traffic orders that close roads within Cambridge Core Traffic Scheme Area, is
discretionary and also accept the right of Cambridgeshire County Council to withdraw Authorised User
Status at any time.
I enclose my remittance of £ __________ being the fee for the license applied for
I enclose my remittance of £___________ being the fee for the use of a Transponder
I enclose my remittance of £___________ being the deposit for the use of a transponder.
PLEASE NOTE WE CAN NO LONGER TAKE CASH PAYMENTS AT ANY OF OUR
COUNCIL OFFICES
NB Please note that both plate and transponder should be returned to the Cambourne office where a
refund will be arranged by way of a cheque.
SIGNATURE ______________________
DATE ______________
PLEASE COMPLETE THE DETAILS OVERLEAF
Please note that provided all paperwork is in order you may re-license your
vehicle up to one calendar month before the licence expiry date.
Your new licence will then be issued in advance to run from your original
expiry date.
VEHICLES PRESENTED FOR RENEWAL AFTER THE LICENCE EXPIRY DATE
WILL BE TREATED AS A NEW APPLICATION.
IN SUCH CIRCUMSTANCES PARTICULAR ATTENTION SHOULD BE GIVEN TO
OUR AGE CONDITIONS. (see frequently asked questions for further details)
Any queries should be directed to 0345 045 0063
This application is for:- NEW APPLICATION/RENEWAL/CHANGE OF
VEHICLE (delete as appropriate)
1. FULL NAME(S) ADDRESS(ES) AND TELEPHONE Nos of every proprietor
2. VEHICLE REGISTRATION No ____________________
3. MAKE/MODEL
____________________
4. COLOUR
____________________
5. FIRST REGISTERED
____________________
3. ENGINE CAPACITY
____________________
4. FUEL TYPE
PETROL/DIESEL
6. NUMBER OF PASSENGERS _____________________
7. BODY TYPE
MPV/SALOON/ESTATE/HATCHBACK
8. NUMBER OF DOORS (not including rear tailgate) _____
9. DISABLED FACILITIES :
10. OPERATING COMPANY
NONE/DISABLED ACCESS/WHEELCHAIR
_____________________ (Signed by operator)
11. DATE OF ISSUE OF CURENT M.O.T CERTIFICATE ________________
12 EXISTING PLATE NUMBER + EXPIRY DATE( if applicable) ________________
13. CURRENT INSURER
__________________________
14. WHAT KIND OF INSURANCE POLICY DO YOU HOLD IN RESPECT OF THIS VEHICLE
(public hire, private hire, fully comprehensive, third party fire & theft)
15. Do you intend to use this vehicle primarily for pre-booked work outside this district?
YES/NO
THIS APPLICATION MUST BE SIGNED BY THE OWNER FOR WHICH THE LICENCE IS SOUGHT,
OR WHERE THE VEHICLE IS IN JOINT OWNERSHIP, BY ONE OF THE OWNERS. IN THE CASE OF
LIMITED COMPANIES OR OTHER LEGAL ENTITY, THE SECRETARY OR MANAGER OR
AUTHORISED AGENT MUST SIGN THE APPLICATION ON THEIR BEHALF.
DATE:_________________
SIGNATURE:____________________________
Once this application has been accepted and processed, the applicant will be notified that the
licence and plate is available for collection from the Cambourne offices, this will normally be
processed within 2 working days.